Reporting occupational hygiene sample exceedance

Occupational hygiene sample exceedance notification - 87 Kb

This is a sample form of occupational hygiene exceedance notification.

Who can report results?

An authorised ventilation officer or ventilation technician.

When is the notification required?

Any exceedance for a contaminant needs to be notified at the same time as the results of CONTAM sampling are reported.

A copy of the exceedance notification must be recorded in the ventilation log book.

Required information

An action plan to prevent a recurrence of the exceedance must be submitted with the notification.

Lodging your notification

The exceedance notification and action plan can be submitted to either:

  • the CONTAM Manager, who will forward the plan to the responsible inspector; or
  • the responsible inspector (if known).

Email the notification and action plan to

The notification and action plan can also be mailed to:

CONTAM Manager
Resources Safety
Department of Mines and Petroleum
Mineral House 100 Plain Street 
East Perth WA 6004

Or lodged in person at Resources Safety, 1 Adelaide Terrace, East Perth WA.


Health and hygiene sampling including atmospheric, noise and biological monitoring.
Phone: (08) 9358 8001 (selection option 2 - you can make your selection at anytime)